Thomas R Hazel (NPI# 1730189176, PAC ID# 6305996414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730189176 |
| PAC ID by PECOS | 6305996414 |
| Professional Enrollment ID | I20101109000983 |
| Full Name | Thomas R Hazel |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Address |
905 N 1st St Elburn IL 60119-9150 |
| Phone Number | 6302322200 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890696231 |
| Number of Group Practice Members | 660 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140211 | DELNOR COMMUNITY HOSPITAL |
| 140286 | KISHWAUKEE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 905 N 1st St, Elburn, IL 60119-9150 | 6302322200 | CENTRAL DUPAGE PHYSICIAN GROUP |
| 2425 Fargo Blvd, Geneva, IL 60134-3591 | 6302322200 | CENTRAL DUPAGE PHYSICIAN GROUP |
| 1800 N Main St, Wheaton, IL 60187-3112 | 6306144960 | CENTRAL DUPAGE PHYSICIAN GROUP |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Physicians | 623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert James Kasper | Family Medicine | Central Dupage Physician Group | 298 Randall Rd, Geneva, IL 60134-4203 |
| Lauren E Miser | Physician Assistant | Central Dupage Physician Group | 2425 Fargo Blvd, Geneva, IL 60134-3591 |
| Melissa Lancaster | Psychologist, Clinical | Central Dupage Physician Group | 302 Randall Rd, Geneva, IL 60134-4209 |
| Deborah A Henschler | Nurse Practitioner | Central Dupage Physician Group | 224 E Railroad St, Sandwich, IL 60548-2240 |
| Mehr Iqbal | Psychiatry | Central Dupage Physician Group | 1800 N Main St, Wheaton, IL 60187-3112 |
| Rakhee Kalelkar | Internal Medicine | Central Dupage Physician Group | 1019 School St, Lisle, IL 60532-1870 |
| Katharyn Lupo | Pediatric Medicine | Central Dupage Physician Group | 636 Raymond Dr, Naperville, IL 60563-9789 |
| Carrie A Feid | Nurse Practitioner | Central Dupage Physician Group | 304 Randall Rd, Geneva, IL 60134-4200 |
| Spring S Piatek | Certified Clinical Nurse Specialist (cns) | Central Dupage Physician Group | 473 W Army Trail Rd, Bloomingdale, IL 60108-2674 |
| Rhonda Koach | Qualified Speech Language Pathologist | Central Dupage Physician Group | 2127 Midlands Ct, Unit 203, Sycamore, IL 60178-3173 |
| Street Address |
905 N 1ST ST |
| City | ELBURN |
| State | IL |
| Zip | 60119-9150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter D Cladis | Family Medicine | Central Dupage Physician Group | 905 N 1st St, Elburn, IL 60119-9150 |
| Katherine G Fackler Chapman | Family Medicine | Central Dupage Physician Group | 905 N 1st St, Elburn, IL 60119-9150 |
| Michael J Fremgen | Family Medicine | Central Dupage Physician Group | 905 N 1st St, Elburn, IL 60119-9150 |
| Joseph M Neubauer | Family Medicine | Central Dupage Physician Group | 905 N 1st St, Elburn, IL 60119-9150 |
| Anthony S Leazzo | Family Medicine | Central Dupage Physician Group | 905 N 1st St, Elburn, IL 60119-9150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Ianakiev | Clinical Social Worker | 330 E Pierce St, Elburn, IL 60119-8929 | |
| Catherine A Wheeler | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1053 N Main St, Suite 200, Elburn, IL 60119-9118 |
| Kenneth E Baumruck | Chiropractic | 319 S Main St, Elburn, IL 60119-9119 | |
| David L Foss | Chiropractic | 880 N Main St, Elburn, IL 60119-9163 | |
| Keith E Hougas | Optometry | 135 S Main St, Suite 4, Elburn, IL 60119-9188 |
| City | ELBURN |
| Zip Code | 60119 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELBURN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas R Hazel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.